UPTOWN DENTAL SOLUTIONS NPI 1639574064

NPI Information

NPI: 1639574064
Provider Name: UPTOWN DENTAL SOLUTIONS

Doing Business As: LAKESIDE DENTAL SOLUTIONS

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6617 HERITAGE PKWY STE 120
ROCKWALL, TX
ZIP 75087
Phone: (972) 412-0014
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UPTOWN DENTAL SOLUTIONS is a dental clinic center in Rockwall, TX. UPTOWN DENTAL SOLUTIONS NPI is 1639574064. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeside Dental Solutions.

The provider's business location address is:

6617 HERITAGE PKWY STE 120
ROCKWALL, TX
ZIP 75087-750
Phone: (972) 412-0014

The provider's authorized official is Rashid Beirute-prada .
The authorized official title is Owner and has the following contact phone number (972) 412-0014.

The enumeration date for this NPI number is 10/28/2014 and was last updated on 10/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	15087	TEXAS	No
2	261QD0000X	Clinic/Center	Dental	29058	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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